Facility Evaluation Report

Licensing Program Analyst (LPA) Dang Nguyen conducted an unannounced Case Management Visit to cite a deficiencies which were identified during a separate complaint investigation. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with House Manager Melissa Cherry. LPA also spoke with Licensee/Administrator Dawn Sasso-Toth via phone during today’s visit.

During LPA's 01/21/2026 site visit, Licensee/Administrator was not physically present at the facility. LPA asked the House Manager (who was the acting administrator) for Staff #2’s (S2) personnel file. [See LIC811 Confidential Names List for a description of select person identifiers used in this report.] However, Licensee’s staff were unable to timely produce it during LPA’s visit, which occurred during normal business hours, and which lasted several hours. CCR 87412(f) states, “All personnel records shall be available to the licensing agency to inspect, audit, and copy upon demand during normal business hours.”

Interview of administrator and multiple care staff showed S2 worked on the facility’s overnight NOC shift. Review of CCLD’s Guardian Database showed that S2 did not possess an active criminal record clearance with CCLD, which was required before S2 can work. [Licensee immediately pulled S2 off the work schedule and arranged coverage to backfill their shifts. Licensee agreed to not employ S2 again, until S2 is cleared and associated the facility’s employee roster in Guardian.]